Individual provider · Type 1 NPI

Mark Leroy Vanicek, DDS

General Practice Dentistry · Lincoln, NE

NPI number 1710056056 Active

About NPI 1710056056

Mark Leroy Vanicek, DDS's National Provider Identifier is 1710056056, issued on Nov 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lincoln, NE. The record was last updated on Jul 8, 2007.